The role of endoscopic surgery for completely obstructive endobronchial benign tumor

Jae Choi Choi, Chang Min Yu, Yon Ju Ryu, Kyeongman Jeon, Kyoung A. Choi, O. Jung Kwon, Hojoong Kim

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

Abstract

Background: The improving techniques of therapeutic bronchoscopy have been replacing conventional surgery for resecting endobronchial benign tumor. However, there could be some limitation for performing bronchoscopic intervention for the patients with complete bronchial obstruction. To evaluate the role of endoscopic surgery for completely obstructive endobronchial benign tumor, we retrospectively reviewed the medical records of 7 patients who underwent bronchoscopic resection due to completely obstructive benign tumor. Methods: Rigid bronchoscopy was performed under general anesthesia. After the stalk of tumor was identified with using a 1 mm biopsy forceps as a probe, a Nd-YAG laser was used to coagulate the stalk of tumor. The tumor was then removed. Results: Bronchoscopic resection was successful in 6 out of 7 patients. The histological diagnoses were 3 leiomyomas, 3 harmatomas and 1 lipoma. There was no mortality in our study. Pneumomediastinum developed in 1 patient, and this patient was treated with 3 days of oxygen therapy. In 5 out of the 6 successful patients, there was no recurrence for a median of 35 months. In 1 patient, leiomyoma recurred after 17 months, and this was treated by pneumonectomy. Conclusions: Endoscopic surgery could be applied to the patients with completely obstructive endobronchial benign tumor.

Original languageEnglish
Pages (from-to)15-19
Number of pages5
JournalKorean Journal of Internal Medicine
Volume21
Issue number1
DOIs
StatePublished - Mar 2006

Keywords

  • Bronchoscopy
  • Intervention studies
  • Lung neoplasm
  • Nd-YAG laser

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